Provider Demographics
NPI:1144623901
Name:PSYCHEMEDICS CORPORATION
Entity type:Organization
Organization Name:PSYCHEMEDICS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-206-8220
Mailing Address - Street 1:125 NAGOG PARK
Mailing Address - Street 2:200
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3451
Mailing Address - Country:US
Mailing Address - Phone:978-206-8220
Mailing Address - Fax:
Practice Address - Street 1:5832 UPLANDER WAY
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6608
Practice Address - Country:US
Practice Address - Phone:310-216-7776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory